Provider Demographics
NPI:1942649025
Name:YUN, JUSTIN ANDREW (DMD)
Entity Type:Individual
Prefix:DR
First Name:JUSTIN
Middle Name:ANDREW
Last Name:YUN
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:381 DARROW RD
Mailing Address - Street 2:
Mailing Address - City:AKRON
Mailing Address - State:OH
Mailing Address - Zip Code:44305-3057
Mailing Address - Country:US
Mailing Address - Phone:330-784-7285
Mailing Address - Fax:330-784-0514
Practice Address - Street 1:381 DARROW RD
Practice Address - Street 2:
Practice Address - City:AKRON
Practice Address - State:OH
Practice Address - Zip Code:44305-3057
Practice Address - Country:US
Practice Address - Phone:330-784-7285
Practice Address - Fax:330-784-0514
Is Sole Proprietor?:No
Enumeration Date:2013-06-21
Last Update Date:2017-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH30023993122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist